End Your Neck Pain
Cervical spine surgery is recommended to treat various underlying neck disorders such as neck pain, neck and arm pain, weakness in the upper extremity and even to correct gait imbalance in some patients. Most neck surgeries can now be performed by using minimally invasive spine surgery (MISS) techniques in an outpatient setting. Patients who have been unable to find relief with non-surgical management for their underlying neck symptoms from cervical disc herniation, radiculopathy, cervical fractures, cervical stenosis and cervical arthritis will benefit from this new outpatient focused approach which relies on smaller incisions, less tissue disruption and faster recovery.
The main goals of MISS cervical surgery are to remove pressure from a nerve and/or the spinal cord and to stabilize the neck either with a fusion or with a disc replacement. The two main options for treating a damaged and painful cervical disc are an anterior cervical discectomy and fusion (ACDF) and a cervical total disc replacement (CTDR). Each of these options needs to be tailor to the individual patient; meaning a CTDR is a better option for some patients while an ACDF is better for other patients.
For either the cervical fusion or a disc replacement, a minimally invasive anterior approach is used to minimize tissue disruption while allowing access to the part of the neck which needs to be treated. This incision is made in a natural skin fold at the front of the neck, which, when healed, is virtually invisible in most patients. Furthermore, MISS utilizes smaller instruments along with the microscope which means the size of the surgical field or exposure is reduced. While MISS often focuses on the size of the incision, it’s really a larger concept of being minimally traumatic to the body, in this case, it’s the neck structures that matter.
Once the damaged disc is identified, it is removed and replaced with either a mechanical disc or with a bony stabilization implant and a small plate. With a CTDR, early movement is encouraged after surgery while with an ACDF motion is restricted until the fusion has occurred. Both of these MISS procedures have excellent outcomes in the right patients.
The advances in MISS techniques have given spine surgeons a new way to perform ACDF or a CTDR by allowing the surgery to be performed in an outpatient setting. After a postoperative period of recovery in the outpatient surgical center, patients are discharged home the same day of their surgery. The benefits of MISS cervical surgery are smaller incisions, less blood loss, lower risk of muscle and soft-tissue damage, lower risk of infection, reduced postoperative pain, reduced pain medication use and faster recovery. MISS cervical surgery, either a CTDR or an ACDF are typically safer, quicker, and promote a faster recovery than traditional cervical spine surgery.
“Great Dr. His staff really show pure professional medical experience, very responsive and caring answers all my questions with terms I can understand, very positive experience highly recommend.”
– Vincent Z.
“I am a chiropractor and can confidently say Dr Tyndall is one of the best. He (and his staff) are clinically at the top of their game. What’s rare is to find a surgeon who can also talk to you like a real person. It’s clear that this group cares for people and is not just performing procedures. I would absolutely keep Dr Tyndall in mind if you are needing spine surgery.”
– Joseph P.
“Dr. Tyndall is knowledgeable, skillful, competent and compassionate. He listens and treats the you as the patient rather than only factoring in the condition. I was excellently satisfied with his service”
– Rev. Dr. John via HealthGrades
Years of Practice
Board Certified, Fellowship Trained Spine Surgeon
Dwight S. Tyndall, MD, FAAOS
Get a consultation with the premier spine surgeon for back and neck pain options.